| NPI | 1386053916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART V CORSO Dentist 802-684-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VT 016.0001005) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |